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 PROVIDER RESOURCES |
Introduction
The content on this page is a resource for physicians, practice managers, and their staff. To manage a medical practice, you need certain tools, like coding and billing materials, details about payers, and prescribing information. Whether you have an established practice or you are just starting, these resources will help you and your staff.
J-Code Update for STELARA®. The updated HCPCS J code, J3357, should be utilized for STELARA®. It replaced J3590 and C9261.
Click here for more detailed information.
Refill Management Program.
The AccessOne® Refill Management Program is designed to assist your office in preventing gaps in treatment with STELARA®. Click here for the editable form.
Prescription Information and STELARA® Support Enrollment Form (PEF) (editable).
This form combines the benefit investigation request, patient authorization, STELARA® Support enrollment and Prescription Information into one form.
Click here for the form.
Sample Format Letter of Medical Necessity.
Sample letter that you can submit with either the initial claim to support the medical necessity of treatment with STELARA® for your patient or submit it to support the medical necessity of treatment with STELARA® when requesting reconsideration of a
denied claim. Click here for the sample letter.
Specialty Distributors. STELARA® is available from this list of specialty distributors for those prescribers who want to directly purchase STELARA®. Click here for the list.
Specialty Pharmacy Delivery Checklist (editable).
Provides practices with a form to help them keep track of important information for each Specialty Pharmacy they may use to obtain STELARA®. Click here for the form.
Suggested SPP Inventory Summary. This document provides a way for you to track and control inventory supplied by specialty pharmacy providers (SPPs). Click here for the form.
Tracking Log for STELARA®. This form helps you track and manage your inventory stock for STELARA® in a consistent and efficient manner. Click here for the form.
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